- Aortic Disease and Treatment Approaches
- Aortic aneurysm repair treatments
- Cerebrovascular and Carotid Artery Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Infectious Aortic and Vascular Conditions
- Connective tissue disorders research
- Vascular anomalies and interventions
- Venous Thromboembolism Diagnosis and Management
- Central Venous Catheters and Hemodialysis
- Diagnosis and Treatment of Venous Diseases
- Global Health and Surgery
- Vascular Procedures and Complications
- Acute Ischemic Stroke Management
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Hip and Femur Fractures
- Intracranial Aneurysms: Treatment and Complications
- Abdominal Surgery and Complications
- Surgical Simulation and Training
- Cardiovascular Health and Disease Prevention
- Abdominal vascular conditions and treatments
- Advanced Proteomics Techniques and Applications
- Electrospun Nanofibers in Biomedical Applications
- Cardiac Valve Diseases and Treatments
- Trauma Management and Diagnosis
- Atherosclerosis and Cardiovascular Diseases
Mayo Clinic in Florida
2024-2025
Jacksonville College
2025
Universidad del Rosario
2022-2024
Institute of Cardiology
2022-2024
University of Miami
2023-2024
Massachusetts General Hospital
2022
Departamento de Salud
2022
Anesthesiology and Surgical Oncology Research Group
2022
Extracranial carotid artery pathology accounts for 15% to 20% of ischemic strokes. Advancements in magnetic resonance angiography (MRA) with vessel wall imaging (VWI) have enabled the identification vulnerable plaques, aiding risk stratification neurovascular events. This pilot study aimed identify proteins plaques and without features on MRA VWI. Consecutive patients undergoing endarterectomy were included cohort preoperative A retrospective chart review was conducted extract pertinent...
Introduction: Extracranial carotid artery pathology accounts for 15-20% of ischemic strokes. Advancements in magnetic resonance angiography (MRA) with vessel wall imaging (VWI) have enabled the identification vulnerable plaques, aiding risk stratification neurovascular events. This pilot study aimed to identify proteins plaques and without features on MRA VWI. Hypothesis: There is a differential proteomic profile non-vulnerable, thus, these can serve as potential biomarkers disease...
Introduction: Hypertension (HTN) is highly prevalent among patients with chronic kidney disease (CKD) and end-stage (ESKD), uncontrolled HTN as well high blood pressure variability (BPV) can significantly impact cardiovascular health. This study aims to understand the of BPV in ESKD following arteriovenous fistula (AVF) creation for hemodialysis, better its association age, sex, BMI, risk. Methods: A retrospective analysis was conducted on 83 who underwent AVF between February 2019 October...
Introduction and Importance Long-term mechanical complications after inferior vena cava (IVC) filter placement include embedded or tilted filters, erosion of the cava, thrombosis. In setting caval thrombosis, patients may subsequently develop venous hypertension post-thrombotic syndrome (PTS). Here we present three unique cases IVC surgical management. Case Presentation A 30-year-old female presented with acute abdominal pain, revealing a duodenal perforation caused by an eroding into her...
Abstract Background Marfan Syndrome is an autosomal dominant disease caused by pathogenetic variants in the FBN1 gene. The progressive dilatation of aorta and potential risk acute aortic syndromes influence prognosis these patients. We aim to describe population characteristics, long-term survival, re-intervention patterns patients who underwent surgery with a previously confirmed clinical diagnosis middle-income country. Methods A retrospective single-center case series study was conducted....
Kommerell's aneurysm is a saccular or fusiform dilatation found in 3-8% of diverticulum cases. A non-dissecting rupture rate 6% has been reported. If ruptured, emergent surgical correction usually granted. However, evidence regarding the optimal approach this acute setting scarce. In case report series, we aim to describe our experience managing type-1 ruptured with hybrid approaches.From January 2005 December 2020, three cases requiring repair were identified. The mean age was 66.67 ± 7.76...
The thoracic branch endoprosthesis (TBE) is intended for the treatment of proximal descending aortic pathology with preservation left subclavian artery blood flow. For more extensive pathologies comprising arch, current devices are limited. We present a case and literature review regarding use TBE device in (Zone 0) aneurysm repair. A 59-year-old male patient history ascending open repair due to type dissection presented an enlarging aorta. Due refusal further surgical intervention,...
Chronic Limb-Threatening Ischemia (CLTI) represents a severe form of peripheral arterial disease characterized by ischemic rest pain, non-healing wounds, and/or gangrene. Deep Venous Arterialization (DVA) is an option when there inadequate distal inline flow to allow for wound healing (No Option CLTI). There paucity data on DVA; which prompted our interest in presenting experience with DVA. We performed retrospective review all patients undergoing DVA from January 2022 through February 2024....
Open thoracoabdominal aortic aneurysm (TAAA) repair remains associated with significant morbidity and mortality rates despite advancements in surgical techniques. In our technique, we describe partial clamping for debranching of the visceral renal arteries use extracorporeal membrane oxygenation (ECMO) as an alternative perfusion strategy. The advantage using technique is reduced need heparinization, a less inflammatory response, no cooling patient, reduction cardiac overload limited...
Early preoperative progressive pneumoperitoneum (PPP) is a technique that helps large eventrations with loss of domain to reintroduce protruded organs. However, standardized has not been developed. This proved in elective patients, but the evidence scarce patients high risk incarceration/strangulation.We present 61-year-old patient history thoracoabdominal aneurysm repair, developed massive incisional hernia domain. At admission, he presented abdominal pain and inability reduce by himself,...
Death following surgical procedures is a global health problem, accounting for 4.2 million deaths annually within the first 30 postoperative days. The fourth indicator of
Objectives Coronary artery disease (CAD) and abdominal aortic aneurysm (AAA) are common arterial pathologies that might occur simultaneously; however, there is not enough evidence about the optimal strategy for patients with concomitant indications of coronary bypass grafting (CABG) open repair AAA (AAOR). This study aims to present outcomes in low moderate cardiac surgical risk who underwent one-stage or two-stage elective CABG AAOR a middle-income country. Methods An observational,...
Chronic limb-threatening ischemia (CLTI) management involves optimizing medical therapy and revascularization tailored to patient risk factors anatomical feasibility. Although endovascular procedures are often the first choice, bypass surgery, particularly utilizing peroneal artery (PA) as an outflow, has demonstrated good limb salvage rates. Our study highlights use of blind PA for in patients with CLTI inadequate distal vessels on angiography. A retrospective chart review was carried out...
The management of thoracoabdominal aortic aneurysms (TAAA) presents significant challenges for vascular and cardiothoracic surgeons due to the risk ischemic complications. Various strategies have been implemented over time, including open repair with or without left heart bypass (LHB), endovascular, hybrid approaches. Here, we explore application temporary extra-anatomic bypasses (TEAB) as a technique complex TAAA when traditional standard care is not feasible (i.e. Unavailability LHB)...